On the fracture complicated by cerebral fat embolism syndrome care.docVIP

 PAGE \* MERGEFORMAT 3 On the fracture complicated by cerebral fat embolism syndrome care [Paper Keywords] fractures; fat embolism syndrome; Care [Abstract] Objective: To investigate the cerebral fat embolism syndrome (FES) of care. Methods: 18 patients closely observed to maintain airway and give high flow oxygen, do a good job Limbs fixed. Results: 18 patients were treated and cured. Conclusion: The close observation of the patient’s condition can be detected early occurrence of FES in order to facilitate early diagnosis, early treatment and reduce complications. Cerebral fat embolism syndrome (fat embolism syndrome, FES) refers to the long tubular bone fractures or multiple injuries after the destruction of fat cells, free fatty veins are squeezed to the formation of emboli to cerebral circulation disorder, cerebral ischemia, disturbance of consciousness, neurological deficits as the main clinical manifestations of the syndrome [1], is a traumatic fracture of one of the most serious complications. I Bureau since January 2002 ~ December 2007 were treated with secondary cerebral fat embolism after fracture 18 patients by aggressive treatment and care, results were satisfactory. A clinical data 1.1 General information: The group of cases, 11 males and 7 females. Age 23 to 72 years old, the average (37.6 ± 6.1) years of age. Injuries reasons: 12 cases of traffic accident injuries, fall injuries in 6 cases. Fracture site: Bilateral femoral shaft fracture in 5 cases, unilateral femoral shaft fracture in 4 cases, 2 cases of tibia and fibula fracture, spinal and pelvic fractures in 1 case. After admission in 4 cases of femoral shaft fractures with open reduction and intramedullary nail fixation, and 1 case of tibia and fibula fractures with external fixator fixation, a routine skeletal traction in treatment. 1.2 Clinical manifestations: The patient had no head injury, coma and shock history. After injury 10 h ~ 3 d appeared in drowsiness, shallow coma,